Organization
CHAMPION CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LYNN SANDIFER DC (PRESIDENT)
(360) 438-6559
Entity
Organization
Contact information
Practice address
4315 6TH AVE SE STE D, LACEY, WA 98503-1041
(360) 438-6559
(360) 352-4202
Mailing address
4315 6TH AVE SE SUITE D, LACEY, WA 98503-1041
(360) 438-6559
(360) 352-4202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2707
WA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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